National Provider Identifier
Matthew Shane Fisher
Matthew Shane Fisher is listed in the NPPES registry with a primary specialty of Registered Nurse in Mayville, NY and a listed phone number of (716) 720-0421.
Profile Overview
- NPI
- 1801377098
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- August 24, 2018
- Last Updated
- August 24, 2018
Practice Location
- 23 Elm St
- Mayville, NY 14757-1118
Phone: (716) 720-0421
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1801377098
- Entity Type
- Individual
- Last Name
- Fisher
- First Name
- Matthew
- Middle Name
- Shane
- Mailing Street Address
- 23 Elm St
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1118
- Mailing Country
- US
- Mailing Phone
- (716) 720-0421
- Practice Street Address
- 23 Elm St
- Practice City
- Mayville
- Practice State
- NY
- Practice ZIP Code
- 14757-1118
- Practice Country
- US
- Practice Phone
- (716) 720-0421
- Enumeration Date
- August 24, 2018
- Last Updated
- August 24, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)